Clinical Compliance
Improve Safety with Practical, Sustainable Regulatory Compliance
With our extensive knowledge of the relationship between the pursuit of safe patient care delivery and common-sense regulatory compliance, our Clinical Compliance practice offers deep expertise in proper interpretation of regulation, policy simplification, and practical application and implementation so that healthcare organizations can thrive and providers can spend more time at the bedside.
Our Clinical Compliance Capabilities
Regulatory and Accreditation Authority Success
We work with clients to identify and implement proven, sustainable approaches to prepare for and respond to regulatory and accreditation activity. We help with survey readiness, prioritizing key vulnerabilities and implementing solutions that address root causes. Post survey, we help implement effective and sustainable long-term fixes, such as:
- Plans to correct and evidence of correction for accreditation and regulatory findings
- Plans for abatement for "immediate jeopardy" and "immediate threat to life"
- Correction of condition-level deficiencies and threats to accreditation or certification
- Long-term engagements aimed at CMS Systems Improvement Agreements
Organizational Dependability
We help clients avoid preventable harm by transforming core functions to sustain patient safety and regulatory compliance. We bring proven approaches for:
- Change at the point of care by simplifying and streamlining complex tasks
- Reduction of unnecessary burden of staff by simplifying policy and documentation requirements
- Effective accountability management
Environment of Care/Life Safety
With 30% of TJC findings covering Environment of Care and Life Safety, it is imperative that hospitals have a trusted partner with a deep understanding of the complexities of the physical environment. We help clients evaluate the safety and functionality of the physical environment as well as ensure the management functions are effective, sustainable, and compliant with all applicable requirements.
Specialized Compliance Advisory
In addition to our broad offerings above, we have expertise across myriad processes within a healthcare organization. A few examples of deep specialty areas include: Emergency Department Operations, including EMTALA, Infection Prevention, Behavioral Health, Patient Safety, and Clinical Quality.
A successful track Record
We have a 100% success rate with state agency/CMS adverse actions, including an unmatched record with hospital systems improvement agreements.
Related Insights
Meet Our Clinical Compliance Leaders
Lisa Eddy, MSN, MHA, RN, CPHQ
Lisa Eddy is the Vice President of Clinical Compliance and High Reliability with Chartis Clinical Quality Solutions. With more than 25 years of consulting experience specializing in CMS certification and accrediting agency regulatory compliance, Lisa supports her clients with a wealth of knowledge and firsthand experience.
Phillip Boaz, RN, MSN, CIC
Phillip Boaz is a Senior Consultant with Chartis Clinical Quality Solutions. He brings his clients more than 30 years of consulting and healthcare experience in the areas of critical care and trauma nursing, infection prevention, risk management, and regulatory compliance.
Kim Wilson, MS, BSN, RN
Kim Wilson is a Senior Consultant for Chartis Clinical Quality Solutions with more than 20 years of experience in clinical nursing, leadership, regulatory compliance, and informatics. Kim’s proven approach to simplification and process redesign benefits her clients in a variety of areas.
Ann Smedley, BSN, RN-BC, HACP
Ann Smedley is a consultant with Chartis Clinical Quality Solutions. She brings over 38 years of nursing and leadership experience to her work with acute hospitals and behavioral health facilities.
J'Neil Bogren, MSN, MHA, RN
J’Neil Bogren is a Senior Consultant with Chartis Clinical Quality Solutions. She brings more than 25 years of consulting healthcare experience and 10 years of experience as a Masters-Prepared Registered Nurse to the firm.
Steve MacArthur, CSHA
Steve MacArthur is a Senior Consultant with the Chartis Clinical Quality Solutions. He brings more than 40 years of consulting and healthcare experience to the firm.
Lori Dinney, MS, CHSP, PE
Lori Dinney is a Senior Consultant for Chartis Clinical Quality Solutions with more than 35 years of consulting and healthcare experience. Because of her expertise in life safety, she helps her clients successfully navigate the constantly changing requirements of life safety compliance.
Catherine Garrison
Catherine Garrison is a Compliance Consultant with Chartis Clinical Quality Solutions. She brings more than six years of consulting and healthcare experience to the firm.
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